Counties in Texas by adult cigarette smoking rate, local model estimate, 2023

Newton County had the highest adult cigarette smoking rate, local model estimate of 253 counties in 2023, at 22.2%. Terrell County had the lowest, at 9.2%. The median was 14.8%. Source: the Centers for Disease Control and Prevention.

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Highest22.2Newton County
Median14.8253 counties

Map of counties, 2023

Anderson County: 17.4 %Andrews County: 14.5 %Angelina County: 17.1 %Aransas County: 14.1 %Archer County: 14.6 %Armstrong County: 12.8 %Atascosa County: 13.7 %Austin County: 14.6 %Bailey County: 14.4 %Bandera County: 13.9 %Bastrop County: 14 %Baylor County: 16.2 %Bee County: 14.8 %Bell County: 13.3 %Bexar County: 12.2 %Blanco County: 11.5 %Borden County: 12.4 %Bosque County: 14.2 %Bowie County: 16 %Brazoria County: 11.6 %Brazos County: 11.7 %Brewster County: 9.7 %Briscoe County: 16.8 %Brooks County: 15.4 %Brown County: 15.3 %Burleson County: 14.1 %Burnet County: 13.1 %Caldwell County: 14.4 %Calhoun County: 13 %Callahan County: 14.7 %Cameron County: 13 %Camp County: 17.2 %Carson County: 13.1 %Cass County: 17.2 %Castro County: 13.3 %Chambers County: 13.4 %Cherokee County: 16.9 %Childress County: 14.7 %Clay County: 14.2 %Cochran County: 19.3 %Coke County: 15.3 %Coleman County: 15.5 %Collin County: 9.3 %Collingsworth County: 16.5 %Colorado County: 13.6 %Comal County: 10.5 %Comanche County: 14.5 %Concho County: 15.8 %Cooke County: 14.5 %Coryell County: 14.1 %Cottle County: 17.6 %Crane County: 14.3 %Crockett County: 14.3 %Crosby County: 15.9 %Culberson County: 16.1 %Dallam County: 16.9 %Dallas County: 12.5 %Dawson County: 17.1 %Deaf Smith County: 15.7 %Delta County: 15.9 %Denton County: 9.8 %DeWitt County: 16 %Dickens County: 15.1 %Dimmit County: 18.9 %Donley County: 14.3 %Duval County: 14.8 %Eastland County: 15.6 %Ector County: 14.2 %Edwards County: 15 %Ellis County: 12.6 %El Paso County: 12.1 %Erath County: 12.9 %Falls County: 17.1 %Fannin County: 16.6 %Fayette County: 12.3 %Fisher County: 13.4 %Floyd County: 15.2 %Foard County: 18 %Fort Bend County: 9.8 %Franklin County: 13.1 %Freestone County: 16 %Frio County: 15 %Gaines County: 16.4 %Galveston County: 12.3 %Garza County: 16.9 %Gillespie County: 11.1 %Glasscock County: 10.8 %Goliad County: 14.2 %Gonzales County: 15.8 %Gray County: 16.4 %Grayson County: 14.4 %Gregg County: 15.3 %Grimes County: 15.7 %Guadalupe County: 12.5 %Hale County: 15.7 %Hall County: 15.6 %Hamilton County: 15.3 %Hansford County: 13.6 %Hardeman County: 15.8 %Hardin County: 15.6 %Harris County: 12.7 %Harrison County: 15.2 %Hartley County: 13.4 %Haskell County: 16.3 %Hays County: 10.8 %Hemphill County: 11.7 %Henderson County: 16.1 %Hidalgo County: 13.3 %Hill County: 15.3 %Hockley County: 14.5 %Hood County: 12 %Hopkins County: 15.5 %Houston County: 17.9 %Howard County: 15.1 %Hudspeth County: 18.7 %Hunt County: 15.2 %Hutchinson County: 14.8 %Irion County: 12.8 %Jack County: 17.5 %Jackson County: 15 %Jasper County: 18.9 %Jeff Davis County: 14.4 %Jefferson County: 16.1 %Jim Hogg County: 17.2 %Jim Wells County: 14.6 %Johnson County: 14.4 %Jones County: 17.1 %Karnes County: 16 %Kaufman County: 14 %Kendall County: 10 %Kenedy County: 15.1 %Kent County: 11.5 %Kerr County: 12.4 %Kimble County: 14.8 %King County: 17.5 %Kinney County: 12.2 %Kleberg County: 12.1 %Knox County: 15.6 %Lamar County: 16.7 %Lamb County: 15.2 %Lampasas County: 14.2 %La Salle County: 15.3 %Lavaca County: 14.4 %Lee County: 16.4 %Leon County: 15.9 %Liberty County: 17.8 %Limestone County: 16.6 %Lipscomb County: 14.5 %Live Oak County: 16.8 %Llano County: 12.5 %Lubbock County: 12.6 %Lynn County: 15.9 %McCulloch County: 15.1 %McLennan County: 13.5 %McMullen County: 15.9 %Madison County: 16.2 %Marion County: 17.7 %Martin County: 14 %Mason County: 11.5 %Matagorda County: 15.3 %Maverick County: 14.2 %Medina County: 12.6 %Menard County: 14 %Midland County: 12 %Milam County: 15.3 %Mills County: 12.7 %Mitchell County: 16 %Montague County: 15.7 %Montgomery County: 11.8 %Moore County: 15.7 %Morris County: 16.7 %Motley County: 14.4 %Nacogdoches County: 14.9 %Navarro County: 16.6 %Newton County: 22.2 %Nolan County: 17.3 %Nueces County: 13.1 %Ochiltree County: 14.9 %Oldham County: 15.3 %Orange County: 15.7 %Palo Pinto County: 16.3 %Panola County: 15.6 %Parker County: 12.9 %Parmer County: 13.4 %Pecos County: 15.8 %Polk County: 18.9 %Potter County: 17.3 %Presidio County: 14.6 %Rains County: 14.6 %Randall County: 12 %Reagan County: 13.1 %Real County: 16.4 %Red River County: 17.5 %Reeves County: 15.6 %Refugio County: 15 %Roberts County: 12.4 %Robertson County: 15.7 %Rockwall County: 10 %Runnels County: 14.3 %Rusk County: 16.1 %Sabine County: 16.2 %San Augustine County: 21.8 %San Jacinto County: 17.5 %San Patricio County: 14.4 %San Saba County: 14.9 %Schleicher County: 12.3 %Scurry County: 14.2 %Shackelford County: 12.5 %Shelby County: 18.5 %Sherman County: 12.3 %Smith County: 13.6 %Somervell County: 13.4 %Starr County: 16.9 %Stephens County: 15.6 %Sterling County: 11.2 %Stonewall County: 15 %Sutton County: 14 %Swisher County: 17.6 %Tarrant County: 12.7 %Taylor County: 12.9 %Terrell County: 9.2 %Terry County: 16.7 %Throckmorton County: 14.9 %Titus County: 16.5 %Tom Green County: 12.8 %Travis County: 9.5 %Trinity County: 16.8 %Tyler County: 19.3 %Upshur County: 16.6 %Upton County: 16.6 %Uvalde County: 13.1 %Val Verde County: 13 %Van Zandt County: 15.6 %Victoria County: 13.9 %Walker County: 16.2 %Waller County: 12.2 %Ward County: 14.5 %Washington County: 12.1 %Webb County: 12.7 %Wharton County: 14.2 %Wheeler County: 16 %Wichita County: 14.6 %Wilbarger County: 18.2 %Willacy County: 16.4 %Williamson County: 9.9 %Wilson County: 12.4 %Winkler County: 14.1 %Wise County: 14.8 %Wood County: 14.8 %Yoakum County: 12.9 %Young County: 14.5 %Zapata County: 17.1 %Zavala County: 18 %
  • Under 13
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%, 2023. Hatched areas have no value for this period. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Newton County: 22.2 %Newton County22.2San Augustine County: 21.8 %San Augustine County21.8Cochran County: 19.3 %Cochran County19.3Tyler County: 19.3 %Tyler County19.3Dimmit County: 18.9 %Dimmit County18.9Jasper County: 18.9 %Jasper County18.9Polk County: 18.9 %Polk County18.9Hudspeth County: 18.7 %Hudspeth County18.7Shelby County: 18.5 %Shelby County18.5Wilbarger County: 18.2 %Wilbarger County18.2Foard County: 18 %Foard County18Zavala County: 18 %Zavala County18Houston County: 17.9 %Houston County17.9Liberty County: 17.8 %Liberty County17.8Marion County: 17.7 %Marion County17.7Cottle County: 17.6 %Cottle County17.6Swisher County: 17.6 %Swisher County17.6Jack County: 17.5 %Jack County17.5King County: 17.5 %King County17.5Red River County: 17.5 %Red River County17.5San Jacinto County: 17.5 %San Jacinto County17.5Anderson County: 17.4 %Anderson County17.4Nolan County: 17.3 %Nolan County17.3Potter County: 17.3 %Potter County17.3Camp County: 17.2 %Camp County17.2Cass County: 17.2 %Cass County17.2Jim Hogg County: 17.2 %Jim Hogg County17.2Angelina County: 17.1 %Angelina County17.1Dawson County: 17.1 %Dawson County17.1Falls County: 17.1 %Falls County17.1Jones County: 17.1 %Jones County17.1Zapata County: 17.1 %Zapata County17.1Cherokee County: 16.9 %Cherokee County16.9Dallam County: 16.9 %Dallam County16.9Garza County: 16.9 %Garza County16.9Starr County: 16.9 %Starr County16.9Briscoe County: 16.8 %Briscoe County16.8Live Oak County: 16.8 %Live Oak County16.8Trinity County: 16.8 %Trinity County16.8Lamar County: 16.7 %Lamar County16.7Newton County: 22.2 %Newton County22.2San Augustine County: 21.8 %San Augustine County21.8Cochran County: 19.3 %Cochran County19.3Tyler County: 19.3 %Tyler County19.3Dimmit County: 18.9 %Dimmit County18.9Jasper County: 18.9 %Jasper County18.9Polk County: 18.9 %Polk County18.9Hudspeth County: 18.7 %Hudspeth County18.7Shelby County: 18.5 %Shelby County18.5Wilbarger County: 18.2 %Wilbarger County18.2Foard County: 18 %Foard County18Zavala County: 18 %Zavala County18Houston County: 17.9 %Houston County17.9Liberty County: 17.8 %Liberty County17.8Marion County: 17.7 %Marion County17.7Cottle County: 17.6 %Cottle County17.6Swisher County: 17.6 %Swisher County17.6Jack County: 17.5 %Jack County17.5King County: 17.5 %King County17.5Red River County: 17.5 %Red River County17.5San Jacinto County: 17.5 %San Jacinto County17.5Anderson County: 17.4 %Anderson County17.4Nolan County: 17.3 %Nolan County17.3Potter County: 17.3 %Potter County17.3Camp County: 17.2 %Camp County17.2Cass County: 17.2 %Cass County17.2Jim Hogg County: 17.2 %Jim Hogg County17.2Angelina County: 17.1 %Angelina County17.1Dawson County: 17.1 %Dawson County17.1Falls County: 17.1 %Falls County17.1Jones County: 17.1 %Jones County17.1Zapata County: 17.1 %Zapata County17.1Cherokee County: 16.9 %Cherokee County16.9Dallam County: 16.9 %Dallam County16.9Garza County: 16.9 %Garza County16.9Starr County: 16.9 %Starr County16.9Briscoe County: 16.8 %Briscoe County16.8Live Oak County: 16.8 %Live Oak County16.8Trinity County: 16.8 %Trinity County16.8Lamar County: 16.7 %Lamar County16.7
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Newton County22.2-1.6 pts
2San Augustine County21.8-0.4 pts
3Cochran County19.3-1.9 pts
3Tyler County19.3+1.3 pts
5Dimmit County18.9-1.1 pts
5Jasper County18.9-1.5 pts
5Polk County18.9-1 pts
8Hudspeth County18.7-3.7 pts
9Shelby County18.5-2.2 pts
10Wilbarger County18.2-1.5 pts
11Foard County18-1.9 pts
11Zavala County18+1 pts
13Houston County17.9-1.6 pts
14Liberty County17.8-3.3 pts
15Marion County17.7-1.3 pts
16Cottle County17.6-2.7 pts
16Swisher County17.6-0.1 pts
18Jack County17.5-0.4 pts
18King County17.5-5.1 pts
18Red River County17.5-2.6 pts
18San Jacinto County17.5-1.5 pts
22Anderson County17.4-1.2 pts
23Nolan County17.3-0.8 pts
23Potter County17.3-2.8 pts
25Camp County17.2+0.1 pts
25Cass County17.2-1.9 pts
25Jim Hogg County17.2+1.3 pts
28Angelina County17.1-1.8 pts
28Dawson County17.1-1.7 pts
28Falls County17.1-1.9 pts
28Jones County17.1-3.7 pts
28Zapata County17.1-2.8 pts
33Cherokee County16.9-2 pts
33Dallam County16.9-0.3 pts
33Garza County16.9-1.7 pts
33Starr County16.9-0.8 pts
37Briscoe County16.8-5 pts
37Live Oak County16.8-0.9 pts
37Trinity County16.8-0.5 pts
40Lamar County16.7-2 pts
40Morris County16.7-1.2 pts
40Terry County16.7-2.8 pts
43Fannin County16.6-0.4 pts
43Limestone County16.6-4.2 pts
43Navarro County16.6-0.7 pts
43Upshur County16.6-3.8 pts
43Upton County16.6-2.1 pts
48Collingsworth County16.5-1.7 pts
48Titus County16.5-0.9 pts
50Gaines County16.4-1.1 pts
50Gray County16.4-3.2 pts
50Lee County16.4-1.3 pts
50Real County16.4-2.6 pts
50Willacy County16.4-0.3 pts
55Haskell County16.3-2.8 pts
55Palo Pinto County16.3-1.2 pts
57Baylor County16.2+1.8 pts
57Madison County16.2-1.4 pts
57Sabine County16.2-3 pts
57Walker County16.2-2 pts
61Culberson County16.1-0.3 pts
61Henderson County16.1-1.5 pts
61Jefferson County16.1-2.4 pts
61Rusk County16.1-1 pts
65Bowie County16-1.9 pts
65DeWitt County16-0.6 pts
65Freestone County16-2.6 pts
65Karnes County16-0.8 pts
65Mitchell County16-3.6 pts
65Wheeler County16-2.5 pts
71Crosby County15.9-2.8 pts
71Delta County15.9+1.4 pts
71Leon County15.9-4.1 pts
71Lynn County15.9-3.2 pts
71McMullen County15.9-3 pts
76Concho County15.8-3.7 pts
76Gonzales County15.8-0.8 pts
76Hardeman County15.8-1.4 pts
76Pecos County15.8-0.4 pts
80Deaf Smith County15.7-3.9 pts
80Grimes County15.7-2.1 pts
80Hale County15.7-2.7 pts
80Montague County15.7-0.4 pts
80Moore County15.7-3.6 pts
80Orange County15.7-2.4 pts
80Robertson County15.7-0.6 pts
87Eastland County15.6-2.2 pts
87Hall County15.6-0.8 pts
87Hardin County15.6-1.8 pts
87Knox County15.6-1 pts
87Panola County15.6-3.4 pts
87Reeves County15.6-2.2 pts
87Stephens County15.6-3.3 pts
87Van Zandt County15.6-1.8 pts
95Coleman County15.5-1.7 pts
95Hopkins County15.5-0.6 pts
97Brooks County15.4-0.1 pts
98Brown County15.3-0.7 pts
98Coke County15.3-4.8 pts
98Gregg County15.3-2 pts
98Hamilton County15.3-2.7 pts
98Hill County15.3-2.6 pts
98La Salle County15.3-2.1 pts
98Matagorda County15.3-3.6 pts
98Milam County15.3-0.4 pts
98Oldham County15.3-1.5 pts
107Floyd County15.2-3.5 pts
107Harrison County15.2-1.4 pts
107Hunt County15.2-1.6 pts
107Lamb County15.2-2.3 pts
111Dickens County15.1-0.7 pts
111Howard County15.1-2.3 pts
111Kenedy County15.1-11 pts
111McCulloch County15.1-3 pts
115Edwards County15-3.9 pts
115Frio County15-2.9 pts
115Jackson County15-2.5 pts
115Refugio County15-0.6 pts
115Stonewall County15-2 pts
120Nacogdoches County14.90 pts
120Ochiltree County14.9-0.8 pts
120San Saba County14.9-1.6 pts
120Throckmorton County14.90 pts
124Bee County14.8-3.3 pts
124Duval County14.8-1.4 pts
124Hutchinson County14.8-0.6 pts
124Kimble County14.8-1.5 pts
124Wise County14.8-3.2 pts
124Wood County14.8-1 pts
130Callahan County14.7-2.1 pts
130Childress County14.7-3.3 pts
132Archer County14.6-0.4 pts
132Austin County14.6-1 pts
132Jim Wells County14.6-1.4 pts
132Presidio County14.6-3.6 pts
132Rains County14.6-2.4 pts
132Wichita County14.6-1.3 pts
138Andrews County14.5-2.2 pts
138Comanche County14.5-2.8 pts
138Cooke County14.5-1.4 pts
138Hockley County14.5-1.4 pts
138Lipscomb County14.5-2.8 pts
138Ward County14.5-2.7 pts
138Young County14.5-3.2 pts
145Bailey County14.4+0.6 pts
145Caldwell County14.4-2.2 pts
145Grayson County14.4-3.6 pts
145Jeff Davis County14.4-2 pts
145Johnson County14.4-3.1 pts
145Lavaca County14.4-2.4 pts
145Motley County14.4-0.4 pts
145San Patricio County14.4-1.2 pts
153Crane County14.3-2.6 pts
153Crockett County14.3-0.6 pts
153Donley County14.3-1.9 pts
153Runnels County14.3-1.3 pts
157Bosque County14.2-3.8 pts
157Clay County14.2-0.9 pts
157Ector County14.2-1.7 pts
157Goliad County14.2-1.2 pts
157Lampasas County14.2-3.5 pts
157Maverick County14.2-2.9 pts
157Scurry County14.2-3.1 pts
157Wharton County14.2-2.3 pts
165Aransas County14.1-3.1 pts
165Burleson County14.1-3.4 pts
165Coryell County14.1-4.4 pts
165Winkler County14.1-2.6 pts
169Bastrop County14-0.8 pts
169Kaufman County14-2.9 pts
169Martin County14-3.1 pts
169Menard County14+0.3 pts
169Sutton County14-2.9 pts
174Bandera County13.9-1.3 pts
174Victoria County13.9-2.3 pts
176Atascosa County13.7-2 pts
177Colorado County13.6-2.3 pts
177Hansford County13.6+0.1 pts
177Smith County13.6-3.1 pts
180McLennan County13.5-3.4 pts
181Chambers County13.4-1.5 pts
181Fisher County13.4-3.5 pts
181Hartley County13.4-0.4 pts
181Parmer County13.4-3.2 pts
181Somervell County13.4+0.7 pts
186Bell County13.3-2 pts
186Castro County13.3-1.4 pts
186Hidalgo County13.3-3.2 pts
189Burnet County13.1-2.3 pts
189Carson County13.1-1.8 pts
189Franklin County13.1+0.2 pts
189Nueces County13.1-3.1 pts
189Reagan County13.1-1.3 pts
189Uvalde County13.1-1.4 pts
195Calhoun County13-0.3 pts
195Cameron County13-3.4 pts
195Val Verde County13-1.9 pts
198Erath County12.9-3.4 pts
198Parker County12.9-0.4 pts
198Taylor County12.9-1.5 pts
198Yoakum County12.9-5.4 pts
202Armstrong County12.8-2.6 pts
202Irion County12.8-1.8 pts
202Tom Green County12.8-2.7 pts
205Harris County12.7-2.9 pts
205Mills County12.7-2.1 pts
205Tarrant County12.7-2 pts
205Webb County12.7+0.8 pts
209Ellis County12.6-1.8 pts
209Lubbock County12.6-1.7 pts
209Medina County12.6-2.4 pts
212Dallas County12.5-0.8 pts
212Guadalupe County12.5+0.5 pts
212Llano County12.5-2.2 pts
212Shackelford County12.5-2.2 pts
216Borden County12.4+1.7 pts
216Kerr County12.4-2.5 pts
216Roberts County12.4-2.8 pts
216Wilson County12.4-2.9 pts
220Fayette County12.3-2.4 pts
220Galveston County12.3-1.4 pts
220Schleicher County12.3-3.8 pts
220Sherman County12.3-3.4 pts
224Bexar County12.2-1.7 pts
224Kinney County12.2-2.1 pts
224Waller County12.2-2 pts
227El Paso County12.1-1.9 pts
227Kleberg County12.1-1.3 pts
227Washington County12.1-3.3 pts
230Hood County120 pts
230Midland County12-0.7 pts
230Randall County12-1.9 pts
233Montgomery County11.8-4.5 pts
234Brazos County11.7-0.4 pts
234Hemphill County11.7-4.1 pts
236Brazoria County11.6-1.6 pts
237Blanco County11.5-3.8 pts
237Kent County11.5-2.7 pts
237Mason County11.5-2.6 pts
240Sterling County11.2-3 pts
241Gillespie County11.1-2.6 pts
242Glasscock County10.8-1.4 pts
242Hays County10.8-2.7 pts
244Comal County10.5-2.4 pts
245Kendall County10+0.2 pts
245Rockwall County10-2.4 pts
247Williamson County9.9-1.1 pts
248Denton County9.8-1.1 pts
248Fort Bend County9.8-1.4 pts
250Brewster County9.7-1.7 pts

Showing the top 250 of 253. The Excel download has every row.

Other periods

About this ranking

Percentage of adults who have smoked at least 100 cigarettes in their lifetime and now smoke every day or on some days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries. State and national values come from direct BRFSS estimates under adult_smoking_rate.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. 1 counties with data in other periods have no value for 2023 and are left out rather than filled from another source. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence (Counties in Texas by adult cigarette smoking rate, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence, Counties in Texas by adult cigarette smoking rate, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Counties in Texas by adult cigarette smoking rate, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence, Counties in Texas by adult cigarette smoking rate, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_texas_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence: Counties in Texas by adult cigarette smoking rate, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence: Counties in Texas by adult cigarette smoking rate, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/texas-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
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Rank Counties in Texas by adult cigarette smoking rate, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_smoking_rate_modelled","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_smoking_rate_modelled&level=province&within=Texas&limit=10

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Questions

Which county has the highest adult cigarette smoking rate, local model estimate?

Newton County, with 22.2% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest adult cigarette smoking rate, local model estimate?

Terrell County, with 9.2% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12. 1 counties have no value for 2023 and are not ranked.

Adult cigarette smoking rate, local model estimate: other rankings

Counties in Texas: more rankings